| NPI | 1366624124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L COOPER Owner 910-323-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 1226) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-07-21 |